MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
GREATER K.C. LINC, INC.

Facility DVN
002077087

Phone
(816) 316-5368

Physical Address
15010 WHITE AVE
GRANDVIEW
MO 64030

Owner
GREATER K.C. LINC, INC.

Mailing Address
3100 BROADWAY BLVD STE 1100
KANSAS CITY
MO 64111-2425

Provider/Director
HERRERA, JOHN C

E-mail Address
jherrera@kclinc.org

Incorporated
Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
5 YEARS - 12 YEARS

Capacity
150

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/03/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2458065169

Document	Document-Date
POLICIES	11/20/2007
ARTICLES OF INCORPORATION	11/20/2007
JOB RESPONSIBILITIES	11/20/2007
SAMPLE FORMS	11/20/2007
SAMPLE WEEKLY MENU	11/20/2007
DAILY SCHEDULE	09/21/2011
APPLICATION	08/10/2017
CERTIFICATE OF GOOD STANDING	08/10/2017
STAFF SHEET	10/17/2017
DIRECTOR'S QUALIFICATIONS	04/27/2018
ANNUAL DECLARATION	11/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/30/2023
EQUIPMENT LIST	10/30/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List

5 CSR 25-500.032 Organization and Administration

Compliance

5 CSR 25-500.042 Licensing Process

Compliance

5 CSR 25-500.052 Annual Requirements

Violation

	Provider Comments
Violation The Annual Declaration was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required The facility shall submit the Annual Declaration as required. Correction Verification Submit Documentation Compliance Date 11/3/2023

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Compliance

5 CSR 25-500.090 Disaster and Emergency Preparedness

Compliance

5 CSR 25-500.092 Furniture, Equipment and Materials

Compliance

5 CSR 25-500.102 Personnel

Compliance

5 CSR 25-500.112 Staff/Child Ratios

Compliance

5 CSR 25-500.122 Medical Examination Reports

Compliance

5 CSR 25-500.132 Admission Policies and Procedures

Compliance

5 CSR 25-500.172 Emergency School Closings

Compliance

5 CSR 25-500.182 Child Care Program

Compliance

5 CSR 25-500.192 Health Care

Compliance

5 CSR 25-500.202 Nutrition and Food Service

Compliance

5 CSR 25-500.212 Transportation and Field Trips

Compliance

5 CSR 25-500.222 Records and Reports

Compliance

5 CSR 25-600.020 General Requirements

Compliance

5 CSR 25-600.040 Background Screening Findings

Compliance

RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —

Compliance

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Compliance